PRAIRIE RIVER PSYCHIATRIC CARE NPI 1811896418

NPI Information

  • NPI: 1811896418
  • Provider Name: PRAIRIE RIVER PSYCHIATRIC CARE
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 42935 QUARTZ RD
    STAPLES, MN
    ZIP 56479
  • Phone: (320) 493-5487

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NPI Details

PRAIRIE RIVER PSYCHIATRIC CARE is a psychiatric/mental health nurse practitioner in Staples, MN. PRAIRIE RIVER PSYCHIATRIC CARE NPI is 1811896418. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

42935 QUARTZ RD
STAPLES, MN
ZIP 56479-169
Phone: (320) 493-5487
Fax: (218) 302-1734

The provider's authorized official is Heidi Marie Hoppe .
The authorized official title is Owner/provider and has the following contact phone number (320) 493-5487.

The enumeration date for this NPI number is 11/2/2026 and was last updated on 11/2/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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